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Individual

MRS. LAURA A HENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
701 25TH AVE S STE 150, MINNEAPOLIS, MN 55454-1511
(612) 273-9196
(612) 273-4560
Mailing address
701 25TH AVE S STE 150, MINNEAPOLIS, MN 55454-1511
(612) 273-9196
(612) 273-4560

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1275
MN

Other

Enumeration date
06/11/2006
Last updated
01/22/2008
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